ArticleEuropean journal of investigation in health, psychology and education2019
Barriers to Effective Diabetes Mellitus Self-Management (DMSM) Practice for Glycemic Uncontrolled Type 2 Diabetes Mellitus (T2DM): A Socio Cultural Context of Indonesian Communities in West Sulawesi.
Article in European journal of investigation in health, psychology and education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Self-management interventions for common long-term conditions in low- and middle-income countries: a synthesis of current evidence.Journal of global health · 2025Pooled it
- Cognitive behaviour therapy-informed guidelines for type 2 diabetes self-management: A Delphi method study.Journal of health psychology · 2026Article
- Barriers to diabetes self-management in the North Shoa Zone, Ethiopia: a qualitative study with patients and healthcare providers.BMC public health · 2026Article
- Effects of a Nurse-Led Diabetes Perception Intervention Delivered via a Mobile Messaging Platform (LINE) on Glycemic Control and Patient Outcomes Among Adults with Diabetes and Poorly Controlled Glucose: A Randomized Controlled Trial.Journal of multidisciplinary healthcare · 2026Article
- Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.PloS one · 2026Article
- Health-seeking behaviours and sociocultural factors influencing self-management of diabetes mellitus type 2 among women: a descriptive qualitative study from Islamabad, Pakistan.BMJ public health · 2026Article
- Effectiveness of a theory-based tailored individual and family self-management education in adults with uncontrolled diabetes: A randomized controlled trial.International journal of nursing sciences · 2025Article
- Article
- Self-management challenges of adults with type 2 diabetes mellitus in Ekurhuleni district primary health care facilities amid COVID-19 lockdown.African journal of primary health care & family medicine · 2024Article
- Article
- Perspectives and Needs of Malaysian Patients With Diabetes for a Mobile Health App Support on Self-Management of Diabetes: Qualitative Study.JMIR diabetes · 2023Article
- Patients' lived experiences of self-injectable diabetes treatment: A phenomenological study.Health SA = SA Gesondheid · 2023Article
- Factors affecting nonadherence to treatment among type 2 diabetic patients with limited health literacy: Perspectives of patients, their families, and healthcare providers.Journal of education and health promotion · 2022Article
- Article
- Unmet basic needs and family functions gaps in diabetes management practice among Indonesian communities with uncontrolled type 2 diabetes: A qualitative study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2021Article
- Restrictors of the effectiveness of diabetes self-management education: A qualitative content analysis.Journal of education and health promotion · 2021Article
- Social Engagement and Urban-Rural Disparity in Self-Management Behaviors: Study of Middle-Aged and Older Chinese Hypertension Patients.Frontiers in public health · 2021Article
- Family Functional-based Coaching Program on Healthy Behavior for Glycemic Control among Indonesian Communities: A Quasi-experimental Study.Oman medical journal · 2020Article
- Article
- Exploring Barriers to Self-Care in Patients With Uncontrolled Type 2 Diabetes Mellitus: A Qualitative Study.SAGE open nursingArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Diabetes mellitus self-management (DMSM) is an essential strategy used to maintain blood glucose levels and to prevent severe complications. Several barriers have been documented while implementing DMSM practices. A qualitative study aimed to explore barriers to effective DMSM practice among uncontrolled glycemic type 2 diabetes mellitus (T2DM) patients in Indonesia. We conducted in-depth interviews and focus group discussions (FGDs) among 28 key informants, including patients, family members, healthcare providers (HCPs), and village health volunteers (VHVs). The interviews and FGDs were audiotaped and transcribed verbatim. The results revealed six core themes with sub-categories of themes used by all participants to describe the barriers to effective DMSM practice among uncontrolled T2DM patients. The critical barriers of DMSM practice included low perception of susceptibility to and severity of the illness; inadequate knowledge and skill of diabetes mellitus self-management; lack of motivation to perform diabetes mellitus self-management; insufficient human resources; lack of social engagement; and social exclusion and feelings of embarrassment. Our findings provide valuable information regarding the barriers while implementing the DMSM practice. Healthcare providers should negotiate with both T2DM patients and caretakers to participate in a DMSM program at a community health care level.
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